I-Placenta previa
I-Placenta previa iyinkinga yokukhulelwa lapho i-placenta ikhula khona engxenyeni ephansi kakhulu yesibeletho (isibeletho) futhi ihlanganisa konke noma ingxenye yokuvulwa komlomo wesibeletho.
I-placenta iyakhula ngesikhathi sokukhulelwa futhi yondla ingane ekhulayo. Umlomo wesibeletho ukuvulwa komsele wokuzalwa.
Ngesikhathi sokukhulelwa, i-placenta iyahamba njengoba isibeletho sinwebeka futhi sikhula. Kuvamile kakhulu ukuthi i-placenta ibe phansi esibelethweni ekukhulelweni kokuqala. Kepha njengoba ukukhulelwa kuqhubeka, i-placenta iya phezulu kwesibeletho. Ngekota yesithathu yesithathu, i-placenta kufanele isondele phezulu kwesibeletho, ngakho-ke umlomo wesibeletho uvulekile ukulethwa.
Kwesinye isikhathi, i-placenta ingxenye noma ihlanganisa ngokuphelele umlomo wesibeletho. Lokhu kubizwa nge- previa.
Kunezinhlobo ezahlukahlukene ze-placenta previa:
- Ngasemaphethelweni: I-placenta iseduze nomlomo wesibeletho kepha ayikumbozi ukuvuleka.
- Ingxenye: I-placenta ihlanganisa ingxenye yokuvulwa komlomo wesibeletho.
- Qedela: I-placenta ihlanganisa konke ukuvulwa komlomo wesibeletho.
I-Placenta previa ivela ekukhulelweni okukodwa kokungu-200. Kuvame kakhulu kwabesifazane abane:
- Isibeletho esime ngokungajwayelekile
- Ngaba nokukhulelwa okuningi esikhathini esedlule
- Ukukhulelwa okuningi, njengamawele noma amawele amathathu
- Ukugqashuka ulwelwesi lwesibeletho ngenxa yomlando wokuhlinzwa, isigaba se-C, noma ukukhipha isisu
- Ukukhulelwa kwe-in vitro
Abesifazane ababhemayo, abasebenzisa i-cocaine, noma abanezingane zabo sebekhulile nabo bangaba nengozi eyengeziwe.
Uphawu oluyinhloko lwe-placenta previa ukuphuma kwegazi kungazelelwe kusuka esithweni sangasese. Abanye besifazane nabo banamajaqamba. Ukopha kuvame ukuqala ngasekupheleni kwe-trimester yesibili noma ekuqaleni kwe-trimester yesithathu.
Ukopha kungaba nzima futhi kusongele impilo. Ingama yodwa kodwa ingaqala futhi ngemuva kwezinsuku noma amasonto.
Umsebenzi ngezinye izikhathi uqala ezinsukwini ezimbalwa zokopha kakhulu. Kwesinye isikhathi, ukopha kungenzeka kungenzeki kuze kuqale ukubeletha.
Umhlinzeki wakho wezokunakekelwa kwempilo angakwazi ukuxilonga lesi simo nge-ultrasound yokukhulelwa.
Umhlinzeki wakho uzobheka ngokucophelela ubungozi bokuphuma kwegazi ekulethweni kwengane yakho kusenesikhathi. Ngemuva kwamasonto angama-36, ukubeletha ingane kungaba yindlela yokwelashwa engcono kakhulu.
Cishe bonke abesifazane abane-placenta previa badinga isigaba se-C. Uma i-placenta imboza wonke noma ingxenye yomlomo wesibeletho, ukulethwa kwesitho sangasese sowesifazane kungadala ukopha kakhulu. Lokhu kungabulala bobabili umama nengane.
Uma i-placenta iseduze noma ihlanganisa ingxenye yomlomo wesibeletho, umhlinzeki wakho angancoma:
- Ukunciphisa imisebenzi yakho
- Ukuphumula kombhede
- Ukuphumula kwe-pelvic, okusho ukuthi akukho ucansi, akukho tampon, futhi akukho douching
Akukho okumele kufakwe esithweni sangasese.
Ungadinga ukuhlala esibhedlela ukuze iqembu lakho lokunakekelwa kwezempilo likwazi ukukuqapha eduze wena nengane yakho.
Ezinye izindlela zokwelashwa ongazithola:
- Ukumpontshelwa igazi
- Imithi yokuvikela ukubeletha ngaphambi kwesikhathi
- Imithi esiza ukukhulelwa iyaqhubeka okungenani amasonto angama-36
- Ukudutshulwa komuthi okhethekile obizwa ngeRhogam uma uhlobo lwegazi lakho lunga-Rh-negative
- Ama-steroid shots ukusiza amaphaphu engane ukuba akhule
Isigaba se-C esiphuthumayo singenziwa uma ukuphuma kwegazi kunzima futhi kungalawulwa.
Ingcuphe enkulu ukuphuma kwegazi okungasongela impilo kumama nasenganeni. Uma wopha kakhulu, ingane yakho ingadinga ukubeletha kusenesikhathi, ngaphambi kokuba izitho ezinkulu, njengamaphaphu, zikhule.
Shayela umhlinzeki wakho uma wopha sangasese ngesikhathi sokukhulelwa. I-Placenta previa ingaba yingozi kuwe nakumntanakho.
Ukopha kwesitho sangasese sowesifazane - i-placenta previa; Ukukhulelwa - i-placenta previa
- Isigaba se-Cesarean
- I-Ultrasound ekukhulelweni
- I-anatomy ye-placenta ejwayelekile
- I-Placenta previa
- I-Placenta
- I-Ultrasound, umbungu ovamile - izingalo nemilenze
- I-Ultrasound, i-placenta ejwayelekile ekhululekile
- I-Ultrasound, umbala - intambo ejwayelekile yenkaba
- I-Placenta
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I-Hull AD, i-Resnik R, i-Silver RM. I-Placenta previa ne-accreta, i-vasa previa, i-subchorionic hemorrhage, ne-abruptio placentae. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 46.
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